Child Psych

Category - Diversity

Damian Smith, a 14-year-old Afro-American youth from South Chicago, was referred to a therapist because of poor grades and a poor attitude. The boy had a chip on his shoulder and was annoyed about having to see the psychologist when he much rather be playing basketball. He also thought a lot about how his older brother, Sean, had gotten involved with a bad crowd and wound up being arrested. He felt his brother was bullied by the police and got a raw deal. The clinical psychologist who evaluated Damian, an older white man, reported a diagnosis of Antisocial Personality and Cognitive Behavior Disorder. However, the school guidance counselor disagreed with the diagnosis and arranged to have Damian re-evaluated by a different psychologist. That psychologist concurred with the guidance counselor. What might have led to the first psychologist’s incorrect diagnosis?
  1. The psychologist was having a bad day and took it out on Damian.
  2. The psychologist over-diagnosed the severity of Damian’s behavior problem because he failed to take cultural attitudes into account.
  3. It had been years since the psychologist had seen a patient at all like Damian, so his diagnostic skills pertaining to the type of behavior he displayed were rusty.
  4. He was a bigot who just didn’t like Afro-Americans.
Explanation
Answer: B - The first psychologist probably diagnosed Damian incorrectly because he failed to take cultural attitudes into account. Damian’s neighborhood, his brother’s experience, and possible run-ins with the police or other authority figures he knew may have all contributed to a distrust of the therapist and unwillingness to cooperate, leading the psychologist to over-diagnose his problem.
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